(SBQ16SM.11) A 19-year-old collegiate pitcher presents to your clinic with a right shoulder injury he sustained 6 weeks prior while sliding into a base. (OBQ12.6) A 75-year-old-male presents after being struck by a vehicle while crossing the street. 23 . Traumatic Spondylolisthesis of Axis, also known as a Hangman's Fracture, is a traumatic fracture of the bilateral pars interarticularis of C2. Traumatic Spondylolisthesis of Axis, also known as a Hangman's Fracture, is a traumatic fracture of the bilateral pars interarticularis of C2. mechanism - theoretical. 5 . Treatment depends on location of fracture but generally requires immediate IV antibiotics and urgent irrigation and debridement followed by surgical fixation as needed. bone work. 14% arthroplasty. Exam reveals a well-healed incision with tenderness at the fracture site. 1% (51/4498) 2. The patient denies any He has not done any physical therapy nor received a corticosteroid injection. technique. Exam reveals a well-healed incision with tenderness at the fracture site. patellar stress fracture. Scaphoid Fractures are the most common carpal bone fracture, often occurring after a fall onto an outstretched hand. Epidemiology. Incidence. sustains a significantly comminuted fracture of the 2nd metacarpal shaft and undergoes external fixation as definitive management. Treatment is either immobilization or surgical fixation depending on fracture displacement and integrity of the extensor mechanism. open management has fewer complications than closed management. 1/14/2020. greenstick fracture. open fracture. Monteggia Fracture - Pediatric Surgical excision is indicted for patients with progressive pain that have failed extended nonoperative management. (OBQ15.89) A 47-year-old man comes for evaluation of his dominant right elbow, which has been bothering him with activity for the past 3 months, especially with activities requiring wrist extension. constant motion at fracture site from pull of the wrist extensors. He has not done any physical therapy nor received a corticosteroid injection. (OBQ11.254) A 65-year-old male presents with continued left hip and thigh pain, and inability to bear full weight after undergoing ORIF of a left proximal femur fracture 3 months ago. Clay-shoveler Fracture (Cervical Spinous Process FX) Spine Practice Management Practice Management Orthobullets Team Spine - Cervical Spine Trauma Evaluation; Listen Now 14:56 min. Treatment is usually closed reduction with either a supination or a hyperpronation technique. (SBQ17SE.76) A 54-year-old Bavarian baker presents to your clinic 5 years after undergoing a Radio-Scapho-Lunate (RSL) fusion for post-traumatic osteoarthritis of the wrist. (OBQ12.6) A 75-year-old-male presents after being struck by a vehicle while crossing the street. leading to potential instability of the ulnohumeral joint due to severe intra-articular comminution of the olecranon fracture. Conservative management including activity modifications, NSAIDs, and physical therapy. any navicular stress fracture, regardless of type, can be initially treated with cast immobilization and nonweight bearing for 6-8 weeks with high rates of success. open management has fewer complications than closed management. Treatment is usually closed reduction with either a supination or a hyperpronation technique. Orthobullets Team Pediatrics - Accessory Navicular ; Techniques. protect the superficial radial sensory nerve. Treatment is either immobilization or surgical fixation depending on fracture displacement and integrity of the extensor mechanism. (OBQ15.89) A 47-year-old man comes for evaluation of his dominant right elbow, which has been bothering him with activity for the past 3 months, especially with activities requiring wrist extension. Epidemiology. A radiograph taken 6 weeks after surgery and before the fall is shown in Figure 10a. Treatment of acute injuries involves splinting of the PIP joint with operative management reserved for chronic, 14% arthroplasty. technique. Radiographs demonstrate intact hardware and an oligotrophic nonunion. The pain is worse with activity, specifically with hip extension during gait. Diagnosis can be made with plain radiographs of the ankle. Treatment may be C-collar immobilization, halo immobilization, or surgical stabilization depending on displacement, angulation, and fracture stability. Treatment depends on the degree of angulation and is surgical if angulation remains greater than 30 degrees after closed reduction is attempted. Pediatric supracondylar fractures are one of the most common traumatic fractures see in children and most commonly occur in children 5-7 years of age, usually from a fall on an outstretched hand. There is no swelling or erythema. articular step-off > 2-3 mm and displaced fracture gap > 3 mm dictate operative management. Although pain and function have improved with conservative treatment 6 months following the injury, he still reports difficulty with his golf game. Radiographs demonstrate intact hardware and an oligotrophic nonunion. (OBQ18.141) A 48-year-old male returns to your office 8 months after sustaining a proximal humerus fracture that was successfully treated nonoperatively. Hip radiographs show no fracture or loosening of the components. displacement of femoral neck fracture will disrupt the blood supply and cause an intracapsular hematoma (effect is controversial) orthopaedic geriatric co-management of trauma patients has been demonstrated to yield. Orthobullets Team Orthobullets Team Trauma A patient with an intertrochanteric hip fracture undergoes reduction and dynamic hip screw application. Orthobullets Team Hip dislocations are a medical emergency, requiring timely placement of the femoral head back into the acetabulum in order to reduce the risk of osteonecrosis of the femoral head.Most professionals recommend closed reduction (nonoperative) barring operative indications such as irreducible dislocation, delayed presentation, non-concentric reduction, Orthobullets Team Trauma A patient with an intertrochanteric hip fracture undergoes reduction and dynamic hip screw application. usually high energy injury (MVA, contact sports) Nonsurgical management and follow-up CT scan in 6 weeks . (OBQ18.141) A 48-year-old male returns to your office 8 months after sustaining a proximal humerus fracture that was successfully treated nonoperatively. Hip radiographs show no fracture or loosening of the components. Treatment is usually closed reduction and percutanous pinning (CRPP), with the urgency depending on whether the hand remains perfused or not. 1% (51/4498) 2. Current radiographs are shown in Figure A. 786 plays. open management has fewer complications than closed management. He is an active squash player and has been unable to continue this sport. Scaphoid Fractures are the most common carpal bone fracture, often occurring after a fall onto an outstretched hand. Initial radiographs are shown in Figures A and B, and intramedullary nailing of the fracture is planned. Diagnosis can be made with plain radiographs of the ankle. 23 . Practice Management Emerging Technologies Navigation and Robotics in Spine Surgery Orthobullets Team Spine - Chance Fracture (flexion-distraction injury) - Chance Fracture (flexion-distraction injury) E 9/10/2011 562 . Nursemaid's elbow is a common injury of early childhood that results in subluxation of the annular ligament due to a sudden longitudinal traction applied to the hand. Management. He is an active squash player and has been unable to continue this sport. 5th metatarsal base fractures are common traumatic fractures among athletic populations that are notorious for nonunion due to tenuous blood supply. Triplane Fractures are traumatic ankle fractures seen in children 10-17 years of age characterized by a complex salter harris IV fracture pattern in multiple planes. Monteggia Fracture - Pediatric Surgical excision is indicted for patients with progressive pain that have failed extended nonoperative management. Navicular fractures can be traumatic. 8 . Etiology. A radiograph taken 6 weeks after surgery and before the fall is shown in Figure 10a. nonunion. Although pain and function have improved with conservative treatment 6 months following the injury, he still reports difficulty with his golf game. Epidemiology. However he is still having persistent anterior shoulder/arm pain that worsens with most activities. Orthobullets Team Pediatrics - Accessory Navicular ; deformity results from an imbalance between the flexor and the extensor tendons at the level of the fracture. He endorses pain and weakness of the right shoulder, especially while bench pressing. usually high energy injury (MVA, contact sports) Nonsurgical management and follow-up CT scan in 6 weeks . However he is still having persistent anterior shoulder/arm pain that worsens with most activities. Treatment is usually closed reduction and percutanous pinning (CRPP), with the urgency depending on whether the hand remains perfused or not. There is no swelling or erythema. A radiograph taken 6 weeks after surgery and before the fall is shown in Figure 10a. Scaphoid Fracture Nonunion Lunate Dislocation (Perilunate dissociation) Triquetrum Fracture usually consider after 6 months of failed nonoperative management. Although pain and function have improved with conservative treatment 6 months following the injury, he still reports difficulty with his golf game. Epidemiology. nonunion. Scaphoid Fracture Nonunion Lunate Dislocation (Perilunate dissociation) Triquetrum Fracture extensor tenolysis with early motion indicated after failure of nonoperative management, usually 3-6 months. Navicular fractures can be traumatic. Orthobullets Team Trauma A patient with an intertrochanteric hip fracture undergoes reduction and dynamic hip screw application. Pediatric Trauma Evaluation & Management Physeal Considerations Pediatric Pelvis Trauma Radiographic Evaluation a fracture may occur with abrupt force rather than a slow gradual increase in force. Incidence. Physical examination demonstrates a lack of active distal interphalangeal joint flexion, but full leading to potential instability of the ulnohumeral joint due to severe intra-articular comminution of the olecranon fracture. (OBQ06.52) A 22-year-old rugby player presents with a mass at the base of his ring finger 5 months after sustaining an injury while making a tackle. suspected distal pole comminution. 25-year-old soldier fell during combat training and sustained the injury seen in Figure A. Operative and non-operative management were discussed with the patient who elected for non-operative treatment. Clay-shoveler Fracture (Cervical Spinous Process FX) Spine Practice Management Practice Management Orthobullets Team Spine - Cervical Spine Trauma Evaluation; Listen Now 14:56 min. Incidence. Practice Management Emerging Technologies Navigation and Robotics in Spine Surgery Orthobullets Team Spine - Chance Fracture (flexion-distraction injury) - Chance Fracture (flexion-distraction injury) E 9/10/2011 562 . important to distinguish from medial clavicle physeal fracture (physis doesn't fuse until age 20-25) mechanism. He endorses pain and weakness of the right shoulder, especially while bench pressing. Odontoid fractures are relatively common fractures of the C2 vertebral body (axis) that can be seen in low energy falls in eldery patients and high energy traumatic injuries in younger patients. (SAE13HK.10) A healthy, active 72-year-old man tripped and fell, landing on his left hip 10 weeks after an uncomplicated left primary uncemented total hip replacement. Radiographs demonstrate intact hardware and an oligotrophic nonunion. bone work. Etiology. constant motion at fracture site from pull of the wrist extensors. Incidence. Etiology. Epidemiology. displacement of femoral neck fracture will disrupt the blood supply and cause an intracapsular hematoma (effect is controversial) orthopaedic geriatric co-management of trauma patients has been demonstrated to yield. Treatment is usually closed reduction and percutanous pinning (CRPP), with the urgency depending on whether the hand remains perfused or not. patellar stress fracture. Scaphoid Fracture Nonunion Lunate Dislocation (Perilunate dissociation) Triquetrum Fracture usually consider after 6 months of failed nonoperative management. important to distinguish from medial clavicle physeal fracture (physis doesn't fuse until age 20-25) mechanism. Physical examination demonstrates a lack of active distal interphalangeal joint flexion, but full Epidemiology. Physical examination reveals a positive Kim's test, a negative O'Brien's test, and normal rotator cuff strength. early medical optimization and co-management with medical hospitalists or geriatricians . There is no swelling or erythema. Exam reveals a well-healed incision with tenderness at the fracture site. displacement of femoral neck fracture will disrupt the blood supply and cause an intracapsular hematoma (effect is controversial) orthopaedic geriatric co-management of trauma patients has been demonstrated to yield. Treatment depends on location of fracture but generally requires immediate IV antibiotics and urgent irrigation and debridement followed by surgical fixation as needed. greenstick fracture. Treatment is either immobilization or surgery depending on location of fracture, degree of displacement, and athletic level of patient. nonsurgical management. deformity results from an imbalance between the flexor and the extensor tendons at the level of the fracture. radial based incision proximal to the wrist. any navicular stress fracture, regardless of type, can be initially treated with cast immobilization and nonweight bearing for 6-8 weeks with high rates of success. Conservative management including activity modifications, NSAIDs, and physical therapy. Examination shows tenderness at the common extensor origin. He has not done any physical therapy nor received a corticosteroid injection. Scaphoid Fracture Nonunion Lunate Dislocation (Perilunate dissociation) Triquetrum Fracture extensor tenolysis with early motion indicated after failure of nonoperative management, usually 3-6 months. deformity results from an imbalance between the flexor and the extensor tendons at the level of the fracture. Pediatric Trauma Evaluation & Management Physeal Considerations Pediatric Pelvis Trauma Radiographic Evaluation a fracture may occur with abrupt force rather than a slow gradual increase in force. Management. 1/14/2020. indications. hyperflexion of the digit will permit removal of the interposed soft tissue from the fracture site. radial based incision proximal to the wrist. Pediatric Trauma Evaluation & Management Physeal Considerations Orthobullets Team Pediatrics - Humeral Shaft Fracture - Pediatric E 4/21/2017 677 . Incidence. He has persistent pain and significantly decreased range of motion about the wrist, particularly after a long day in the bakery or when applying his lederhosen. constant motion at fracture site from pull of the wrist extensors. Examination shows tenderness at the common extensor origin. indications. tenolysis contraindicated if done in conjunction with other procedures that require joint immobilization. Pediatric Trauma Evaluation & Management Physeal Considerations Orthobullets Team Pediatrics - Humeral Shaft Fracture - Pediatric E 4/21/2017 677 . Hip dislocations are a medical emergency, requiring timely placement of the femoral head back into the acetabulum in order to reduce the risk of osteonecrosis of the femoral head.Most professionals recommend closed reduction (nonoperative) barring operative indications such as irreducible dislocation, delayed presentation, non-concentric reduction, (SBQ17SE.76) A 54-year-old Bavarian baker presents to your clinic 5 years after undergoing a Radio-Scapho-Lunate (RSL) fusion for post-traumatic osteoarthritis of the wrist. Nursemaid's elbow is a common injury of early childhood that results in subluxation of the annular ligament due to a sudden longitudinal traction applied to the hand. Clay-shoveler Fracture (Cervical Spinous Process FX) Spine Practice Management Practice Management Orthobullets Team Spine - Cervical Spine Trauma Evaluation; Listen Now 14:56 min. Current radiographs are shown in Figure A. Incidence. Middle Finger, Proximal Phalangeal Head - Bicondylar Fracture - Fixation Hand - Phalanx Fractures sustains a significantly comminuted fracture of the 2nd metacarpal shaft and undergoes external fixation as definitive management. 0 . Physical examination reveals a positive Kim's test, a negative O'Brien's test, and normal rotator cuff strength. The patient denies any Pediatric Trauma Evaluation & Management Physeal Considerations Pediatric Pelvis Trauma Radiographic Evaluation a fracture may occur with abrupt force rather than a slow gradual increase in force. The patient denies any Examination shows tenderness at the common extensor origin. Treatment is either immobilization or surgery depending on location of fracture, degree of displacement, and athletic level of patient. Conservative management including activity modifications, NSAIDs, and physical therapy. Practice Management Emerging Technologies Navigation and Robotics in Spine Surgery Orthobullets Team Spine - Chance Fracture (flexion-distraction injury) - Chance Fracture (flexion-distraction injury) E 9/10/2011 562 . Surgical management is indicated for displaced fractures or fractures associated with loss of extensor mechanism. Scaphoid Fractures are the most common carpal bone fracture, often occurring after a fall onto an outstretched hand. Navicular fractures can be traumatic. Treatment of acute injuries involves splinting of the PIP joint with operative management reserved for chronic, greenstick fracture. Surgical management is indicated for nonunions, significantly displaced fractures, and for elite athletes. Triplane Fractures are traumatic ankle fractures seen in children 10-17 years of age characterized by a complex salter harris IV fracture pattern in multiple planes. hyperflexion of the digit will permit removal of the interposed soft tissue from the fracture site. He endorses pain and weakness of the right shoulder, especially while bench pressing. Pediatric Trauma Evaluation & Management Physeal Considerations Orthobullets Team Pediatrics - Humeral Shaft Fracture - Pediatric E 4/21/2017 677 . Treatment depends on the location of the fracture within the C2 vertebrae defined by the Anderson and D'Alonzo classification system and the patient's risk factors for nonunion (failed Treatment depends on the degree of angulation and is surgical if angulation remains greater than 30 degrees after closed reduction is attempted. (OBQ12.6) A 75-year-old-male presents after being struck by a vehicle while crossing the street. 8 . nonunion. suspected distal pole comminution. Treatment depends on location of fracture but generally requires immediate IV antibiotics and urgent irrigation and debridement followed by surgical fixation as needed. 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